| NPI | 1477862001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301516115) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036143016) |
| 207R00000X Internal Medicine (Licence: IL 036143016) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2026-06-23 |